Individual
HEATHER MICHELLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
111155
TX
225X00000X
Occupational Therapist
Primary
OTR2608
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070007
NBCOT
—
01
—
OTR2608
ARKANSAS LIC
AR
Enumeration date
12/03/2012
Last updated
09/18/2020
Update your record
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